Basic Information
| Provider Information | |||||||||
| NPI: | 1467665596 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KAMEROW | ||||||||
| FirstName: | DOUGLAS | ||||||||
| MiddleName: | BIRON | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1853 MINTWOOD PL NW | ||||||||
| Address2: | |||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200091907 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2022486900 | ||||||||
| FaxNumber: | 2022486910 | ||||||||
| Practice Location | |||||||||
| Address1: | 4151 BLADENSBURG RD | ||||||||
| Address2: | FT LINCOLN FAMILY MEDICINE CENTER | ||||||||
| City: | COLMAR MANOR | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207221928 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3016997700 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/07/2007 | ||||||||
| LastUpdateDate: | 06/28/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD14142 | DC | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | D0031197 | MD | Y | Allopathic & Osteopathic Physicians | Family Medicine | 2083P0500X | MD14142 | DC | N | Allopathic & Osteopathic Physicians | Preventive Medicine | Preventive Medicine/Occupational Environmental Medicine | 2083P0500X | D0031197 | MD | N | Allopathic & Osteopathic Physicians | Preventive Medicine | Preventive Medicine/Occupational Environmental Medicine |
No ID Information.